This is a simplified presentation of the anatomy and physiology of the thyroid gland along with properly labelled and easy-to-understand diagrams designed for short seminars on the above-said topic. Feel free to leave your comments and suggestions below. Thankyou.
2. Location: lower part of the
front and side of the neck
opposite to the
C5, C6, C7 and T1
vertebrae.
Each lateral lobe extends
upwards to oblique line of
thyroid cartilage and
below up to the 5th or 6th
tracheal ring.
The isthmus extends
across the midline in front
of the 2nd ,3rd and 4th
tracheal ring.
3. Transverse section of the anterior part of the neck at the
level of isthmus, showing relations of thyroid gland.
4. Arterial supply:
Superior thyroid artery: branch of external carotid
artery; upper 1/3rd & upper half of the isthmus.
Inferior thyroid artery: branch of thyrocervical trunk
from the first part of the subclavian artery; lower
2/3rd of the lobe & lower half of the isthmus.
Thyroidea ima artery (in 30% cases).
Accessory thyroid arteries.
Venous Drainage:
Superior thyroid vein: drains into the internal jugular
vein.
Middle thyroid vein: drains into internal jugular vein.
Inferior thyroid vein: drains into left brachiocephalic
vein.
5.
6. Upper group: into prelaryngeal and upper deep
cervical (jugulodigastric) lymph nodes.
Lower group: into pretracheal and lower deep
cervical lymph nodes& nodes along the recurrent
laryngeal nerves. Those from lower part of
isthmus drain into retrosternal or brachiocephalic
nodes in the superior mediastinum.
Parasympathetic: derived from vagus and
recurrent laryngeal nerves.
Sympathetic: derived from superior, middle, and
inferior cervical sympathetic ganglia (mainly from
the middle one).
7. The thyroid gland consists of two
types of secretory cells-follicular
and parafollicular.
The follicular cells are cuboidal
epithelial cells forming the wall of
spherical thyroid follicles. They
secrete two hormones: thyroxine
and triiodothyronine.
The parafollicular cells or C-cells
lie between the basement
membrane and the follicular cells.
They secrete a hormone called
thyrocalcitonin (or calcitonin).
8. 2 important thyroid hormones:
Thyroxine(T4) or tetraiodothyronine
Triiodothyronine (T3)
-Secreted by Follicular cells.
- Having significant effect on the metabolic rate
of the body.
Calcitonin
- Secreted by Parafollicular cells.
- Important hormone for Ca2+ metabolism &
homeostasis
9.
10.
11. Calorigenic (heat
production)
action: Thyroid
hormone
thermogenesis.
On CVS: increase
in pulse rate,
increase in force
of contraction
and decrease in
circulation time.
12. On protein metabolism: Anabolic, i.e. increases
protein synthesis resulting in positive nitrogen
balance.
On carbohydrate metabolism: produces two
opposite effects that balance each other-
-insulin-like action-increases peripheral
utilisation of glucose causing hypoglycaemia.
-hyperglycemia
On lipid metabolism:
-cholesterol: decreases serum levels.
-lipids: T4 decreases the stores of triglycerides and
phospholipids.
13. Also required for-
Bone marrow metabolism.
Growth and development.
Gonadal development.
CNS development.
Galactopoiesis.
Hepatic conversion of B-carotene to vitamin
A.